Organization
JEAN MILLER COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DEAN NAVEY L.C.P.C. (PRESIDENT)
(630) 890-0639
Entity
Organization
Contact information
Practice address
440 W BOUGHTON RD, SUITE K, BOLINGBROOK, IL 60440-1892
(630) 890-0639
Mailing address
11525 GLENN CIR, PLAINFIELD, IL 60585-5796
(630) 890-0639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006650
IL
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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